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Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies
BACKGROUND: Despite having the high rate of stillbirth in most of the countries of South Asia, there is a lack of synthesized evidence based on factors associated with stillbirth. This study systematically synthesizes the evidence on factors associated with stillbirth in the four selected countries...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494090/ https://www.ncbi.nlm.nih.gov/pubmed/32936823 http://dx.doi.org/10.1371/journal.pone.0238938 |
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author | Poudel, Samikshya Ghimire, Pramesh Raj Upadhaya, Nawaraj Rawal, Lal |
author_facet | Poudel, Samikshya Ghimire, Pramesh Raj Upadhaya, Nawaraj Rawal, Lal |
author_sort | Poudel, Samikshya |
collection | PubMed |
description | BACKGROUND: Despite having the high rate of stillbirth in most of the countries of South Asia, there is a lack of synthesized evidence based on factors associated with stillbirth. This study systematically synthesizes the evidence on factors associated with stillbirth in the four selected countries of South Asia. METHODS: This review was conducted using Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Studies that examined factors associated with stillbirth in South Asia were searched using five major electronic search databases including MEDLINE, CINAHL, Embase, PsycINFO, and Scopus, published between January 2000 and December 2019. In the meta-analysis, significant heterogeneity was detected among studies (I(2) >50%), and hence a random effect model was used. RESULTS: A total of 20 studies met the inclusion criteria. The pooled rate of stillbirth from the studies in Bangladesh, India, Nepal, and Pakistan was 25.15 per 1000 births. Pregnancy complications, maternal health conditions, fetal complications, lack of antenatal care, and lower Socio Economic Status (SES) were the most common factors associated with stillbirth in countries of South Asia. CONCLUSION: This study confirmed that stillbirth in selected countries of South Asia remains high. To reduce stillbirth, a greater focus needs to be on timely management of preterm labor, maternal hypertension, and provision of financial support for quality antenatal and delivery care. The interventions should be targeted for women living in remote areas, who are less educated and those with low SES. |
format | Online Article Text |
id | pubmed-7494090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-74940902020-09-24 Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies Poudel, Samikshya Ghimire, Pramesh Raj Upadhaya, Nawaraj Rawal, Lal PLoS One Research Article BACKGROUND: Despite having the high rate of stillbirth in most of the countries of South Asia, there is a lack of synthesized evidence based on factors associated with stillbirth. This study systematically synthesizes the evidence on factors associated with stillbirth in the four selected countries of South Asia. METHODS: This review was conducted using Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Studies that examined factors associated with stillbirth in South Asia were searched using five major electronic search databases including MEDLINE, CINAHL, Embase, PsycINFO, and Scopus, published between January 2000 and December 2019. In the meta-analysis, significant heterogeneity was detected among studies (I(2) >50%), and hence a random effect model was used. RESULTS: A total of 20 studies met the inclusion criteria. The pooled rate of stillbirth from the studies in Bangladesh, India, Nepal, and Pakistan was 25.15 per 1000 births. Pregnancy complications, maternal health conditions, fetal complications, lack of antenatal care, and lower Socio Economic Status (SES) were the most common factors associated with stillbirth in countries of South Asia. CONCLUSION: This study confirmed that stillbirth in selected countries of South Asia remains high. To reduce stillbirth, a greater focus needs to be on timely management of preterm labor, maternal hypertension, and provision of financial support for quality antenatal and delivery care. The interventions should be targeted for women living in remote areas, who are less educated and those with low SES. Public Library of Science 2020-09-16 /pmc/articles/PMC7494090/ /pubmed/32936823 http://dx.doi.org/10.1371/journal.pone.0238938 Text en © 2020 Poudel et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Poudel, Samikshya Ghimire, Pramesh Raj Upadhaya, Nawaraj Rawal, Lal Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies |
title | Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies |
title_full | Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies |
title_fullStr | Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies |
title_full_unstemmed | Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies |
title_short | Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies |
title_sort | factors associated with stillbirth in selected countries of south asia: a systematic review of observational studies |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494090/ https://www.ncbi.nlm.nih.gov/pubmed/32936823 http://dx.doi.org/10.1371/journal.pone.0238938 |
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